Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $44.67 / $52.48	Facility	26	$39.81	$44.67	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $194.98	Professional		$61.66	$102.33	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $177.83 / $288.40	Professional		$53.70	$177.83	$288.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $229.09	Professional		$112.20	$162.18	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $104.71	Professional		$83.18	$89.13	$104.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $48.98 / $56.23	Professional	26	$44.67	$48.98	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $251.19	Professional		$72.44	$112.20	$251.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $346.74	Professional		$91.20	$177.83	$346.74